Coal

Number

Revision 
Date

OMB 
Number

OMB 
Exp Date

Title

Category

3400-012Sept 20131004-007306/30/2016Coal Lease (Static pdf)Coal
3440-001Sept 20101004-007306/30/2013 Application and License to Mine Coal - Free Use 
(Fillable pdf)
Coal
3504-001Mar 20101004-012102/28/2013Personal Bond and Power of Attorney under Mineral 
Lease or Prospecting Permit for Mining ___________ 
Deposits (Fillable pdf)
Minerals
Management
3504-003Mar 20101004-012102/28/2013 Bond Under Lease for Mining _____________
Deposits
(Fillable pdf
Minerals
Management 
3504-004Mar 20101004-012102/28/2013Statewide or Nationwide Personal Mineral Bond 
for Prospecting Permits and Leases (Coal, Sodium, 
Phosphate, Potassium, Sulphur, and Other Mineral 
Deposits) (Fillable pdf)
Minerals
Management
3809-001May 20121004-019407/31/2013Surface Management Surety Bond (Fillable pdf)Minerals
Management
3809-002May 20121004-019407/31/2013Surface Management Personal Bond (Fillable pdf)Minerals
Management
3809-004May 20121004-019407/31/2013Form for Bond Rider Extending Coverage of 
Bond to Assume Liabilities for Operations 
Conducted by Parties Other Than the Principal 
(Consent of Surety) RIDER
(Fillable pdf)
Minerals
Management
3809-004aMay 20121004-019407/31/2013Surface Management Personal Bond Rider 
(Fillable pdf)
Minerals
Management
3809-005May 20121004-019407/31/2013Notification of Change of Operator and Assumption 
of Past Liability (Fillable pdf)
Minerals
Management